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Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
I r" Fire Sprinkler r Fire Alarm
I- Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
620 NEWPORT CENTER DRIVE
— 350
Tenant Name CAMAUR
CRAMPTION
#Units F
2. Description of Work
City I Irvine
State CA
Zip— Telephone
F 4. Architect/Designer's Name
Use B
First rI Lic: No, i
ire Alarm T.I.
- DEMO 2 SPEAKER/STROBES
Architect/Designees E-mail Address
2246 Lindsay Way
Valuation $ 1,294.98
Extg Sq Ft F
New/Added Sq Ft �— Total Sq Ft F3,561
Zip 91740 Telephone 305-1600
# Stories A
r New I- Add
P Alter F_ Demo
First F_ Lic. No. �—
Check Appropriate Box for Applicant/Notification
Inf��rn.�Y�n
(- 3. Owner's Name Last
The Irvine Company First
Owner's Address
Owner's E-mail Address
111 Innovation Dr.
City I Irvine
State CA
Zip— Telephone
F 4. Architect/Designer's Name
Last
First rI Lic: No, i
Architect/Designees Address
Architect/Designees E-mail Address
2246 Lindsay Way
abalt,azar@becinc.net
City I Glendora
State I CA
Zip 91740 Telephone 305-1600
(909)
F 5. Engineer's Name Last
�—
First F_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip Telephone—'
r6.Contractor's Name Last TAYLOR First RICHARD Lic. No. 729905 Class—
C10
Contractor's Address BUILDING
ELECTRONIC CONTROTCiontractorsE-mail Address
2246 LINDSAY WAY
ktaylor@becinc.net
City I GLENDORA
State CA
Zip 91740 Telephone
9093051600
OFFICE USE ONLY
PERMIT NO. C w ' D, Ll
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $